NPI | 1760028633 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.025791) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.025791) |
Enumeration Date | 2019-11-25 |
Last Update Date | 2021-11-10 |